SHIPPING CONTAINER TALLY
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Form Approved
REQUISITION AND INVOICE/SHIPPING DOCUMENT
(Continuation Sheet)
OMB No. 0704-0246
Expires Feb 28, 2006
The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services,
Directorate for Information Operations and Reports (0704-0246), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any
penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE ADDRESS IN ITEM 2 OF DD FORM 1149.
11a. VOUCHER NUMBER AND DATE
b. VOUCHER NUMBER AND DATE
SHEET NO.
NO. OF SHEETS
6. REQUISITION NUMBER
ITEM
UNIT
QUANTITY
SUPPLY
TYPE
CON-
NO.
FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES
OF
REQUESTED
ACTION
CON-
TAINER
UNIT PRICE
TOTAL COST
ISSUE
TAINER
NOS.
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
6
7
SHEET TOTAL
0.00
DD FORM 1149C, JUN 2003
100
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PREVIOUS EDITION IS OBSOLETE.
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